12-354-004Miami -Dade Fire Rescue
Fire Alarm Pre - Submittal Checklist
Based On NFPA T2 2002 edition & NFPA 1 and 1012006 edition
Designed by: d vIh le yn(2 �, , Phone #: QSy— gG2'Sx3
Signature: Created by: MDFR 11 / 2009
THIS IS A REQ DOCUMENT ON ALL FIRE ALARM PLAN SUBMITTALS
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Building Department Process Number is ----- - - - - -- (begins with C or
Date:
M )
/ I
Project Name: 9A H x1W.WROW . 115maia nd is provided in title block of '
laps
YES
NO
NiA
LOCATION /COMMENTS
Address in title block to match address found in Building Department Computer'
System ". If address contains a building,'suite, or specific unit number or letter,
same to be provided in title block –to match Building Department Computer
X
System.
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A copy of the contract or a notarized affidavit from the owner showing the total cost
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of the equipment and installation Is provided. Cost S
2
Systems costing more than $5,000 are sealed or approved by a Florida Registered
Enainear.
3-
The total number of devices and components being Installed Is
4
A copy of alarm quannees state license is attached. EC EF EH EY 0
Complete, current manufacturer's specification and installation sheets are provided
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for all devices, modules, control units and components. All additions to existing
fire alarm systems shall include manufacturer's specification sheets for FACP.
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Manufacturer's documentation of device compatibility has been provided.
7
Is this permit application for fire alarm work a result of a Notice Of Violation issued
by Miami-Dade Fire Rescue? If yes, a co of the Notice of Violation Is rgvided,
This fire alarm: is required under ! (FlII In the
code)
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(Ex: Occupancy chapterlsection from NFPA 101) or indicate if it is a life safety
equivalent or Is a non – required system or componenL
This fire alarm system is not required, but owner I tenant elects to have the
occupancy protected by a fire alarm system. Fire alarm system shall be Installed
per NFPA 101 &
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NFPA 72 standard.
This fire alarm system is not required to have emergency forces notification, but
owner I tenant elects to have system monitored. if this Is a new system, monitoring
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shall be through a listed central station or a listed proprietary supervising station.
This fire alarm system Is for sprinkler system supervision only. Sprinkler
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supervisory only fire alarm systems, new or existing, shall also monitor duct
x
detectors if any), and suppression systems (if anyl, as per NFPA 72 and NFPA 90.
This Is an EXISTING sprinkler supervision only fire alarm that is monitored off -site
and provided emergency forces notification through an Existing Remote
Supervising Station, and is stated as an Existing Remote Supervising Station Fire
Alarm System on the plans. AHJ may require documentation of prior approval of
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system as a Remote Supervising Station Fire Alarm System in the form of the
original Fire Dept. approved job copy set of plans or certified microfilm copy of
same.
This Is a NEW sprinkler supervision only fire alarm that Is monitored off -site and
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provided emergency forces notification through a Certificated L—) or Placarded
Central station Service Fire Alarm and Is stated as such on the plans.
This system will be a NEW Certificated " or Placarded (_) "Central Station
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Service Fire Alarm System" and Is stated as such on the plans. (24 hours
y�
secondary power)
If this is a NEW "Central Station Service Fire Alarm System," a copy of the UL or
ETL certificate or FM placard for the contractor pulling permit or, from the Central
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Station Service Company responsible for the installation, servicing and monitoring
x
of the system, is attached.
This Is an EXISTING "Central Station Service Fire Alarm System." A copy of the
existing UL or ETL certificate, or FM Placard, specifically Identifying this protected
'(
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premise by address, and uniquely identifying this building's fire alarm system, is
attached.
If the contractor that issued the existing certificate or placard for this building's fire
alarm system Is different than the contractor applying for this permit, to perform
�(
work on an existing Central Station Service Fire Alarm System, Is the required
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Affidavit to Work on another Company's Certificated or Placarded Fire Alarm
System provided?
Designed by: d vIh le yn(2 �, , Phone #: QSy— gG2'Sx3
Signature: Created by: MDFR 11 / 2009
THIS IS A REQ DOCUMENT ON ALL FIRE ALARM PLAN SUBMITTALS
- r